Correlation between intensity of fatigue with pregnancy outcome

چکیده: زمینه و هدف: خستگی یکی از شکایات شایع زنان در دوره بارداری می‌باشد. زنان حامله با توجه به عوامل جسمانی، روانی و موقعیتی خاص در معرض خستگی می‌باشند. هدف از این مطالعه، تعیین همبستگی شدت خستگی با پیامد حاملگی در مادران باردار بود. روش بررسی: در این پژوهش توصیفی - تحلیلی، تعداد 180 نفر مادر باردار مراجعه کننده به مراکز بهداشتی درمانی شهری وابسته به دانشگاه علوم پزشکی اصفهان که سن حاملگی 32 هفته و حاملگی طبیعی بدون عارضه داشته به روش چند مرحله ای انتخاب و تا بعد از زایمان هفته ای یکبار پی گیری و بررسی شدند. ابتدا پرسشنامه حاوی مشخصات دموگرافیک، سوابق مامایی، اضطرب و افسردگی و خستگی تکمیل و نمونه ها بر اساس نمرات خستگی به گروههای خستگی خفیف، متوسط و شدید تقسیم شدند. پس از زایمان، نوع زایمان، سن و وزن نوزاد به هنگام تولد در پرسشنامه ثبت گردید. همبستگی شدت خستگی با نوع زایمان (رگرسیون لجستیک)، سن و وزن نوزاد به هنگام تولد توسط آزمونهای آماری و (رگرسیون خطی) محاسبه گردید. یافته ها: بر اساس نتایج، فراوانی خستگی خفیف 77/37، خستگی متوسط 35 و خستگی شدید 22/27بود. شدت خستگی با نوع زایمان (05/0

Study of relationship between illness perception and delay in seeking help for breast cancer patients based on Leventhal's self-regulation model

One of the major causes of morbidity and mortality in breast cancer patients is delay in seeking help. Leventhal's self-regulation model provides an appropriate framework to assess delay in seeking help. The aim of this study was to investigate the relationship between "illness perception" and "help seeking delay" in breast cancer patients based on Leventhal's self-regulation model. In this correlational descriptive study with convenience sampling conducted in 2013, participants were 120 women with breast cancer who were diagnosed in the last year and referred to chemotherapy and radiotherapy centers in Rasht, Iran. Data collection scales included demographic data, Revised Illness Perception Questionnaire (IPQ-R)and a researcher made questionnaire to measure the delay in seeking help. Pre-hospital delay (help seeking delay) was evaluated in 3 phases (assessment, disease, behavior). The data were analyzed using SPSS- 19. The mean (SD) age calculated for the patients was 47.3±10.2. Some 43 of the patients had a high school or higher education level and 82 were married. The "pre-hospital delay" was reported �3 months. Logistic regression analysis showed that none of the illness perception components were correlated with appraisal and behavioral delay phases. In the illness delay phase, "time line" (p-value =0.04) and "risk factors"(p-value=0.03) had significant effects on reducing and "psychological attributions" had significant effects on increasing the delay (p-value =0.01). "Illness coherence" was correlated with decreased pre-hospital patient delay (p-value < 0.01). Women's perceptions of breast cancer influences delay in seeking help. In addition to verifying the validity of Leventhal's self-regulation model in explaining delay in seeking help, the results signify the importance of the "illness delay phase" (decision to seek help) and educational interventions-counseling for women in the community

The relationship of marital quality and sexual satisfaction with marital status in Iranian women: a Path model

Introduction :  Marriage is the most common life event in all societies. More than 90% of people in the world get married at least once in their life; there are some factors, however, that may make a marriage unstable. This study aimed to investigate the relationship  of   marital quality   and  sexual  satisfaction  with  marital status  by  using  Path  model  in  Iranian  women   who  referred to health  centers  affiliated  to  Shahid   Beheshti  University  of  Medical  Sciences Tehran, Iran in  2015.Methods: This was cross-sectional study conducted on  400 women from January to May 2015(8 months),  who were  selected  through  multistage  sampling method. Data were collected through distinct  questionnaires  demographic  characteristics ,instability marriage , marital  quality and  Larson  sexual  satisfaction   that completed  by   interview   . Descriptive   statistics,  Pearson’s  test   were  performed by SPSS V.16 and   LISREL8.80    used  for  analysis  of  data. (P&lt;0.05)Results: The mean age of  400  participants   was 26.74 ± 3.50 years  old, and  their   mean duration of marriage was 7.90 ± 4.30 years . Marital   quality    was the most effective predictor of marital status(P&lt;0.001).  Sexual   satisfaction    had  direct  association with marital status through direct effect of marital quality (P&lt;0.001). Moreover, smoking (P&lt;0.001)  and  addiction  of  spouse (P&lt;0.08)   had    association  with  marital status  inversely. (p&lt; 0.05).Conclusion:  Noticed  to  sexuality  and  increase quality  marital  life  and avoidance  of high risk behaviors   will help  to  stability  marriage. Declaration of Interest: None. 

Postpartum Sexual Function; Conflict in Marriage Stability: A Systematic Review

Background: One of the most important issues affecting the stability of marriage is sexual function, so its problem can lead to divorce or separation of the couple. Pregnancy and delivery as one the most important periods of women's life can have significant effects on sexual function. This study reviews the postpartum sexual function and its related factors in Iran.Methods: This study is a systematic review of the sexual function after childbirth in Iran. By using of valid keywords and searching in databases such as Google scholar, SID, Magiran, Medlib, Irandoc, Iranmedex, the total number of 15 articles between 2005 and 2012 years have been evaluated. Results were reported quantitatively and qualitatively.Results: Total Sample was 4109 women, with an average of 274 samples per study. Plenty of studies in Tehran was 46% and other cities was 54%. The majority of studies showed no relation between mode of delivery and sexual function (P=0.14), but there were significant relation between lactation and postpartum sexual function (P&lt;0.05) as, breastfeeding decreased sexual function. Also sexual function score has decreased with increasing parity.Conclusion: According to the effects of lactation and parity on women sexual function, therefore high risk for divorce, sex education after childbirth, especially in the first six months after delivery, maybe helpful in prevention of sexual dysfunction after delivery